Subcostal skin incision in the left medioclavicular line. Following infiltration of local anesthetic; insert the Verres needle; perform the safety tests and create the pneumoperitoneum.
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Skin incision and Verres needle insertion
![Skin incision and Verres needle insertion]()
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Inserting the 10mm trocar; diagnostic laparoscopy
![Inserting the 10mm trocar; diagnostic laparoscopy]()
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.Remove the Verres needle; split the muscles with scissors and bluntly insert the 10mm trocar.
Laparoscopic exploration: Minor fibrotic changes of the liver surface; small areas of adhesion of the cecal cancer with the parietal peritoneum at the lateral abdominal wall. -
Inserting the 5mm trocars; patient positioning
![Inserting the 5mm trocars; patient positioning]()
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.Insert two 5mm trocars in the mid-abdomen in the left medioclavicular line and paramedian in the left lower abdomen - each under view after transillumination, infiltration of local anesthetic and skin incision.
Trendelenburg positioning and left tilt of the table will displace the small intestine into the left upper quadrant. -
Dissecting the ileocolic vessels
![Dissecting the ileocolic vessels]()
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.Stretching the mesentery at the ileocecal junction will pinpoint the ileocolic vessels.
Free the ileocolic and superior mesenteric arteries at their origins. Then free the venous junctions. -
Dividing the ileocolic artery and vein
![Dividing the ileocolic artery and vein]()
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.Divide the ileocolic artery between Lapro-Clips® after also sealing its central trunk with the LigaSure™ V. Follow this by transecting the ileocolic vein after sealing it with the LigaSure™ V.
Dividing mesocolon and mesentery
Divide the mesocolon / mesentery off the retroperitoneum respecting the correct layer while exposin
Divide the mesocolon / mesentery off the retroperitoneum respecting the correct layer while exposin
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